US4844900A - Therapeutic agents in the form of submicroscopic particles against Leishmaniasis and pharmaceutical compositions containing them - Google Patents

Therapeutic agents in the form of submicroscopic particles against Leishmaniasis and pharmaceutical compositions containing them Download PDF

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US4844900A
US4844900A US07/105,257 US10525787A US4844900A US 4844900 A US4844900 A US 4844900A US 10525787 A US10525787 A US 10525787A US 4844900 A US4844900 A US 4844900A
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particles
submicroscopic
cyanoacrylate
leishmaniasis
polymerization
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US07/105,257
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Antonio Osuna Carillo de Albornoz
Santiago Castanys
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NV SOPAR SA RUE DUCALE 29 1000 BRUSSELS BELGIUM
Sopar NV SA
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Sopar NV SA
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Assigned to N.V., SOPAR S.A., RUE DUCALE, 29, 1000 BRUSSELS, BELGIUM reassignment N.V., SOPAR S.A., RUE DUCALE, 29, 1000 BRUSSELS, BELGIUM ASSIGNMENT OF ASSIGNORS INTEREST. Assignors: CASTANYS, SANTIAGO, OSUNA CARILLO DE ALBORNOZ, ANTONIO
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/51Nanocapsules; Nanoparticles
    • A61K9/5107Excipients; Inactive ingredients
    • A61K9/513Organic macromolecular compounds; Dendrimers
    • A61K9/5138Organic macromolecular compounds; Dendrimers obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P33/00Antiparasitic agents
    • A61P33/02Antiprotozoals, e.g. for leishmaniasis, trichomoniasis, toxoplasmosis
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the present invention relates to new therapeutic agents against Leishmaniasis, and to pharmaceutical compositions containing them.
  • Leishmaniasis denotes a group of conditions which are caused in man and other mammals by different species of parasites of the genu Leishmania. The most important species are Leishmania tropica, Leishmania aethiopica, Leishmania mexicana, Leishmania braziliensis and Leishmania donovani [F. Wunderlich and E. Schurr, Biologie in sti Zeit 14 (1984), 111-120].
  • the object of the invention is consequently to obtain new therapeutic agents against Leishmaniasis which are less toxic at equal activity than the traditional active principles, or which have higher activity for approximately equal toxicity.
  • these submicroscopic polymeric particles which contain a biologically active substance may be used for the treatment of many diseases, and in particular certain types of cancer.
  • These particles containing a biologically active substance may be administered parenterally and afford, in particular, the advantage of being biodegradable and of exerting a prolonged therapeutic action which is more effective than that which can be obtained by the administration of the biologically active substance alone (not contained in particles).
  • the toxicity of the particles containing the substance is lower than that of the biologically active substance alone.
  • the submicroscopic particles prepared by the polymerization of cyanoacrylic acid derivatives are active against the known forms of Leishmaniasis, this being the case even when these particles do not contain any pharmaceutical agent known for its activity against Leishmaniasis. It has been found that, when administered parenterally, these particles, free from other substances, exert a very marked therapeutic effect against Leishmaniasis resembling that of the drugs known to be active against this disease, while not having the toxicity of these drugs.
  • the toxicity and the adverse side effects of the chemotherapeutic agents are markedly reduced when the latter are in adsorbed or absorbed form in the submicroscopic particles.
  • the subject of the invention is hence a therapeutic agent against Leishmaniasis which consists of submicroscopic particles whose diameter is less than 500 nanometers, the particles being obtained by the micellar polymerization of at least one alkyl cyanoacrylate.
  • submicroscopic particles based on polymeric alkyl cyanoacrylate in which the linear or branched alkyl chain comprises 1 to 12 carbon atoms, and especially 4 to 7 carbon atoms, are employed.
  • the submicroscopic particles are obtained by the copolymerization of at least two different alkyl cyanoacrylates.
  • these particles may be obtained by the micellar polymerization of isobutyl cyanoacrylate (2-methylpropyl cyanoacrylate) and/or isohexyl cyanoacrylate (2-ethylbutyl cyanoacrylate).
  • the submicroscopic particles which constitute the therapeutic agents according to the invention may be prepared according to the processes described in the documents EP-B-0,007,895 or EP-B-0,064,967, and consist of the abovementioned polymers formed by polymerization or copolymerization.
  • This therapeutic action can, if desired, be made still more effective is use is made of polymeric submicroscopic particles containing at least one substance known to be active against Leishmaniasis.
  • compositions to be administered parenterally and containing at least one therapeutic agent according to the invention in combination with a suitable vehicle.
  • the subject of the invention is also such pharmaceutical compositions containing, in addition, amphotericine B.
  • the activity of therapeutic agents according to the invention was tested on white rate (average weight: 340 g) which were inoculated with a single dose of 50 ⁇ 10 6 causal agents of the condition (Leishmania donovani).
  • test animals were treated by means of various therapeutic agents 30 days after the inoculation.
  • Each treatment consisted of three intracardiac injections, each of 1 ml, administered at 7-day intervals, except in the case of dehydroemetine alone which, on account of its high cardiac toxicity, was injected intraperitoneally.
  • the therapeutic agents were injected intravenously; the treatment began 30 days after the inoculation and consisted of 3 injections of 0.5 ml, administered at 7-day intervals.
  • the causal agents present per 100 normal nucleated spleen cells were determined and compared with those found in untreated controls.
  • the therapeutic agents were injected intraveneously; the treatment was begun 30 days after the inoculation and consisted of 3 injections of 1 ml, administered at 7-day intervals.

Abstract

The invention relates to new therapeutic agents against Leishmaniasis.
These therapeutic agents consist of submicroscopic particles whose diameter is less than 500 nanometers, the particles being obtained by the micellar polymerization of an alkyl cyanoacrylate in which the alkyl chain contains from 1 to 12 carbon atoms.
The therapeutic agents according to the invention may be administered parenterally.

Description

BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to new therapeutic agents against Leishmaniasis, and to pharmaceutical compositions containing them.
The term Leishmaniasis denotes a group of conditions which are caused in man and other mammals by different species of parasites of the genu Leishmania. The most important species are Leishmania tropica, Leishmania aethiopica, Leishmania mexicana, Leishmania braziliensis and Leishmania donovani [F. Wunderlich and E. Schurr, Biologie in unserer Zeit 14 (1984), 111-120].
The known pharmaceutical agents which are universally administered against this condition, namely, in particular, dehydroemetine and amphotericin B, exert, apart from the desired activity, very toxic and adverse side effects.
The object of the invention is consequently to obtain new therapeutic agents against Leishmaniasis which are less toxic at equal activity than the traditional active principles, or which have higher activity for approximately equal toxicity.
2. Description of the prior art
From the documents EP-B-0,007,895 and EP-B-0,064,967, submicroscopic particles that are obtained by the micellar polymerization of alkyl cyanoacrylates, and which contain a biologically active substance in absorbed or adsorbed form, are known.
As stated in these documents, these submicroscopic polymeric particles which contain a biologically active substance may be used for the treatment of many diseases, and in particular certain types of cancer. These particles containing a biologically active substance may be administered parenterally and afford, in particular, the advantage of being biodegradable and of exerting a prolonged therapeutic action which is more effective than that which can be obtained by the administration of the biologically active substance alone (not contained in particles). In addition, the toxicity of the particles containing the substance is lower than that of the biologically active substance alone.
SUMMARY OF THE INVENTION
It has been discovered, surprisingly, that the submicroscopic particles prepared by the polymerization of cyanoacrylic acid derivatives, according to the processes described in the documents EP-B-0,007,895 and EP-B-0,064,967, are active against the known forms of Leishmaniasis, this being the case even when these particles do not contain any pharmaceutical agent known for its activity against Leishmaniasis. It has been found that, when administered parenterally, these particles, free from other substances, exert a very marked therapeutic effect against Leishmaniasis resembling that of the drugs known to be active against this disease, while not having the toxicity of these drugs.
Since it is known, following many investigations, that these submicroscopic particles based on polymers of alkyl cyanoacrylates are only slightly toxic, or are nontoxic, at least as regards the quantities administered for therapeutic purposes, these pure submicroscopic particles free from other active principles are suitable as effective therapeutic agents against Leishmaniasis.
It has been found, in addition, that the simultaneous administration of certain chemotherapeutic agents, known for their activity against Leishmaniasis, and submicroscopic particles based on polymers of alkyl cyanoacrylate enables a therapeutic effect to be attained which is superior to that which is obtained with the said submicroscopic particles alone or with the said chemotherapeutic agents alone.
When the said chemotherapeutic agents are used simultaneously with the said submicroscopic particles, the toxicity and the adverse side effects of the chemotherapeutic agents are markedly reduced when the latter are in adsorbed or absorbed form in the submicroscopic particles.
DETAILED DESCRIPTION OF THE INVENTION
The subject of the invention is hence a therapeutic agent against Leishmaniasis which consists of submicroscopic particles whose diameter is less than 500 nanometers, the particles being obtained by the micellar polymerization of at least one alkyl cyanoacrylate.
More specifically, submicroscopic particles based on polymeric alkyl cyanoacrylate in which the linear or branched alkyl chain comprises 1 to 12 carbon atoms, and especially 4 to 7 carbon atoms, are employed.
According to one embodiment, the submicroscopic particles are obtained by the copolymerization of at least two different alkyl cyanoacrylates.
In particular, these particles may be obtained by the micellar polymerization of isobutyl cyanoacrylate (2-methylpropyl cyanoacrylate) and/or isohexyl cyanoacrylate (2-ethylbutyl cyanoacrylate).
The submicroscopic particles which constitute the therapeutic agents according to the invention may be prepared according to the processes described in the documents EP-B-0,007,895 or EP-B-0,064,967, and consist of the abovementioned polymers formed by polymerization or copolymerization.
It is surprising that these pure polymeric submicroscopic particles, free from other active principles, exert a very effective therapeutic action against Leishmaniasis, this action resembling that of the drugs known to be active against this disease.
This therapeutic action can, if desired, be made still more effective is use is made of polymeric submicroscopic particles containing at least one substance known to be active against Leishmaniasis.
In particular, use may thus be made of particles charged with dehydroemetine and/or amphotericine B.
The therapeutic agents according to the invention contain the submicroscopic particles, containing or not containing another antiparasitic substance, in the form of a suspension or colloidal solution in physiologically compatible solutions, or alternatively are dry powders which are brought into suspension or colloidal solution before administration in physiological compatible solutions, for example sodium chloride or dextrose solution.
The subject of the invention is also pharmaceutical compositions to be administered parenterally and containing at least one therapeutic agent according to the invention in combination with a suitable vehicle.
The subject of the invention is also such pharmaceutical compositions containing, in addition, amphotericine B.
EXAMPLE 1
The activity of therapeutic agents according to the invention was tested on white rate (average weight: 340 g) which were inoculated with a single dose of 50×106 causal agents of the condition (Leishmania donovani).
The test animals were treated by means of various therapeutic agents 30 days after the inoculation.
Each treatment consisted of three intracardiac injections, each of 1 ml, administered at 7-day intervals, except in the case of dehydroemetine alone which, on account of its high cardiac toxicity, was injected intraperitoneally.
The experimental doses injected (each having a suitable content of active principle):
(a) dehydroemetine in aqueous solution at a concentration of 1.2 mg per ml,
(b) submicroscopic particles based on polymerized isohexyl cyanoacrylate not containing any other active substance, in aqueous suspension at a concentration of 24 mg per ml,
(c) submicroscopic particles based on polymerized hexyl cyanoacrylate containing 5% of dehydroemetine (each ml of the suspension contains 24 mg of submicroscopic particles and 1.2 mg of dehydroemetine).
After the treatment, the causal agents present in the spleen were determined and compared with those found in similarly inoculated but untreated animals
______________________________________                                    
          Results                                                         
            Causal agents of the                                          
                          Reduction in                                    
            condition, per gram                                           
                          the causal                                      
Treatment   of spleen     agents (%)                                      
______________________________________                                    
--          36.015 × 10.sup.6                                       
a            4.870 × 10.sup.6                                       
                          86.5                                            
b            6.550 × 10.sup.6                                       
                          81.8                                            
c            0.585 × 10.sup.6                                       
                          98.4                                            
______________________________________                                    
EXAMPLE 2
Other rats, of average weight 300 g, received a single dose of 12×106 causal agents of the condition.
The therapeutic agents were injected intravenously; the treatment began 30 days after the inoculation and consisted of 3 injections of 0.5 ml, administered at 7-day intervals.
Experimental doses injected:
(a') dehydroemetine in aqueous solution, in the proportion of 1.75 mg per kg of rat,
(b') submicroscopic particles based on polymerized isohexyl cyanoacrylate, in aqueous suspension, in the proportion of 35 mg per kg of rat,
(c') submicroscopic particles based on polymerized isohexyl cyanoacrylate containing dehydroemetine (in the proportion of 1.75 mg of dehydroemetine and 35 mg of submicroscopic particles per kg of rat).
After treatment, the causal agents present per 100 normal nucleated spleen cells were determined and compared with those found in untreated controls.
______________________________________                                    
          Results                                                         
            Causal agents of the                                          
                          Reduction in                                    
            condition, per 100                                            
                          the causal                                      
Treatment   spleen cells  agents (%)                                      
______________________________________                                    
--          28                                                            
a'          16            42.86                                           
b'          12            57.1                                            
c'          12            57.1                                            
______________________________________                                    
EXAMPLE 3
The activity of therapeutic agents according to the invention was tested in a similar manner to that of Example 2, but amphotericin B was used instead of dehydroemetine as the biologically active substance.
Rats of average weight 300 g received a single dose of 12×106 causal agents of the condition.
The therapeutic agents were injected intraveneously; the treatment was begun 30 days after the inoculation and consisted of 3 injections of 1 ml, administered at 7-day intervals.
Experimental doses administered:
(a") amphotericin B in aqueous solution, in the proportion of 2.5 mg per kg of rat,
(b") submicroscopic particles based on polymerized isohexyl cyanoacrylate, in aqueous suspension, in the proportion of 35 mg per kg of rat,
(c") submicroscopic particles based on polymerized isohexyl cyanoacrylate containing amphotericin B (in the proportion of 2.5 mg of amphotericin B and 35 mg of submicroscopic particles per kg of rat).
After treatment, the causal agents present per gram of spleen were determined and compared with those found in controls.
______________________________________                                    
          Results                                                         
            Causal agents of the                                          
                          Reduction in                                    
            condition, per gram                                           
                          the causal                                      
Treatment   spleen cells  agents (%)                                      
______________________________________                                    
--           11 × 10.sup.6                                          
a"          2.8 × 10.sup.6                                          
                          74.5                                            
b"          4.8 × 10.sup.6                                          
                          56.5                                            
c"            2 × 10.sup.6                                          
                          81.8                                            
______________________________________                                    

Claims (11)

We claim:
1. A therapeutic composition for the treatment of Leishmaniasis that is relatively nontoxic in therapeutic quantities, consisting essentially of submicroscopic particles whose diameter is less than 500 nanometers as the sole essential therapeutic agent, the particles being obtained by micellar polymerization of at least one alkyl cyanoacrylate in which the linear or branched alkyl chain contains from 1 to 12 carbon atoms and wherein the particles are combined only with a nontoxic pharmaceutically acceptable vehicle, wherein the particles are the sole treating agent and these are free of substances known to be active against Leishmaniasis.
2. A therapeutic composition for the treatment of Leishmaniasis that is relatively nontoxic in therapeutic quantities, comprising submicroscopic particles whose diameter is less than 500 nanometers as the sole essential therapeutic agent, the particles being obtained by polymerization of at least one alkyl cyanoacrylate in which the linear or branched alkyl chain contains from 5 to 12 carbon atoms wherein the particles are the sole treating agent and these are free of substances known to be active against Leishmaniasis.
3. The therapeutic composition as claimed in claim 2, further comprising submicroscopic particles obtained by the copolymerization of at least two different alkyl cyanoacrylates in which the linear or branched alkyl chain contains from 1 to 12 carbon atoms.
4. The therapeutic composition as claimed in claim 2, wherein the submicroscopic particles are obtained by the polymerization of 2-methylpropyl cyanoacrylate.
5. The therapeutic composition as claimed in claim 2, wherein the submicroscopic particles are obtained by the polymerization of 2-ethylbutyl cyanoacrylate.
6. A pharmaceutical composition that is relatively nontoxic in therapeutic quantities in a form suitable to be administered parentally for the treatment of Leishmaniasis, comprising at least one therapeutic agent consisting essentially of submicroscopic particles whose diameter is less than 500 nanometers, the particles being obtained by micellar polymerization of at least one alkyl cyanoacrylate in which the linear or branched alkyl chain contains from 1 to 12 carbon atoms, in combination with and combined only with a suitable nontoxic vehicle, wherein the particles are the sole treating agent and these are free of substances known to be active against Leishmaniasis.
7. The pharmaceutical composition as claimed in claim 6, in which the submicroscopic particles are obtained by polymerization of at least one alkyl cyanoacrylate in which the linear or branched alkyl chain contains from 5 to 12 carbon atoms.
8. The pharmaceutical composition as claimed in claim 7, in which the submicroscopic particles are obtained by the polymerization of 2-methylpropyl cyanoacrylate.
9. The pharmaceutical composition as claimed in claim 7, in which the submicroscopic particles are obtained by the polymerization of 2-ethylbutyl cyanoacrylate.
10. A method for treating Leishmaniasis, which comprises administering to a host in need of such treatment, an effective amount of submicroscopic particles having a diameter of less than 500 nanometers, the particles being obtained by micellar polymerization of at least one alkyl cyanoacrylate in which the linear or branched chain contains from 1 to 12 carbon atoms, wherein the particles are the sole treating agent and these are free of substances known to be active against Leishmaniasis.
11. A method for treating Leishmaniasis as claimed in claim 10, wherein the particles are parentally administered to the host.
US07/105,257 1986-10-08 1987-10-07 Therapeutic agents in the form of submicroscopic particles against Leishmaniasis and pharmaceutical compositions containing them Expired - Lifetime US4844900A (en)

Applications Claiming Priority (2)

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FR8613999A FR2604903B1 (en) 1986-10-08 1986-10-08 THERAPEUTIC AGENTS IN THE FORM OF SUBMICROSCOPIC PARTICLES AGAINST PARASITOSIS AND PHARMACEUTICAL COMPOSITIONS CONTAINING THEM
FR8613999 1986-10-08

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US (1) US4844900A (en)
EP (1) EP0269598B1 (en)
JP (1) JPS6396121A (en)
AT (1) ATE62413T1 (en)
CA (1) CA1293446C (en)
DE (2) DE3769287D1 (en)
FR (1) FR2604903B1 (en)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1997049387A1 (en) * 1996-06-27 1997-12-31 G.D. Searle And Co. Particles comprising amphiphilic copolymers, having a cross-linked shell domain and an interior core domain, useful for pharmaceutical and other applications
US5776904A (en) * 1990-11-16 1998-07-07 Nippon Shinyaku Co., Ltd. Dispersion preparation
US6177062B1 (en) 1988-02-05 2001-01-23 Schering Aktiengesellschaft Agents and methods for enhancing contrast in ultrasound imaging
WO2006015519A1 (en) * 2004-08-11 2006-02-16 Yangde Zhang A method of preparation of cetyltriethyl ammonium bromide-midified polybutylcyanoacrylate nanoparticles

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015129793A1 (en) * 2014-02-27 2015-09-03 昇一 城武 Antiviral drug

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US4186183A (en) * 1978-03-29 1980-01-29 The United States Of America As Represented By The Secretary Of The Army Liposome carriers in chemotherapy of leishmaniasis
EP0007895A1 (en) * 1978-07-19 1980-02-06 Patrick Couvreur Biodegradable nanoparticles, pharmaceutical compositions containing them and process for their preparation
EP0064967A1 (en) * 1981-04-24 1982-11-17 N.V. Sopar S.A. Process for producing submicroscopic particles, particles obtained in that way and pharmaceutical compositions containing them
US4489055A (en) * 1978-07-19 1984-12-18 N.V. Sopar S.A. Process for preparing biodegradable submicroscopic particles containing a biologically active substance and their use

Patent Citations (4)

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US4186183A (en) * 1978-03-29 1980-01-29 The United States Of America As Represented By The Secretary Of The Army Liposome carriers in chemotherapy of leishmaniasis
EP0007895A1 (en) * 1978-07-19 1980-02-06 Patrick Couvreur Biodegradable nanoparticles, pharmaceutical compositions containing them and process for their preparation
US4489055A (en) * 1978-07-19 1984-12-18 N.V. Sopar S.A. Process for preparing biodegradable submicroscopic particles containing a biologically active substance and their use
EP0064967A1 (en) * 1981-04-24 1982-11-17 N.V. Sopar S.A. Process for producing submicroscopic particles, particles obtained in that way and pharmaceutical compositions containing them

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Chemical Abstracts, vol. 104, No. 20, May 19, 1986, p. 384, No. 174575x, Columbus, Ohio, US; M. S. El Samaligy et al. *
Chemical Abstracts, vol. 104, No. 20, May 19, 1986, p. 384, No. 174575x, Columbus, Ohio, US; M. S. El-Samaligy et al.
Chemical Abstracts, vol. 105, No. 21, Nov. 24, 1986, p. 404, No. 187450y, Columbus, Ohio, US; L. Golightly et al. *
Chemical Abstracts, vol. 72, No. 5, Feb. 2, 1970, p. 174, No. 20279n, Columbus, Ohio, US; L. M. Gordeeva et al. *
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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6177062B1 (en) 1988-02-05 2001-01-23 Schering Aktiengesellschaft Agents and methods for enhancing contrast in ultrasound imaging
US5776904A (en) * 1990-11-16 1998-07-07 Nippon Shinyaku Co., Ltd. Dispersion preparation
WO1997049387A1 (en) * 1996-06-27 1997-12-31 G.D. Searle And Co. Particles comprising amphiphilic copolymers, having a cross-linked shell domain and an interior core domain, useful for pharmaceutical and other applications
US6383500B1 (en) 1996-06-27 2002-05-07 Washington University Particles comprising amphiphilic copolymers, having a crosslinked shell domain and an interior core domain, useful for pharmaceutical and other applications
US6491903B1 (en) 1996-06-27 2002-12-10 Washington University Particles comprising amphiphilic copolymers
WO2006015519A1 (en) * 2004-08-11 2006-02-16 Yangde Zhang A method of preparation of cetyltriethyl ammonium bromide-midified polybutylcyanoacrylate nanoparticles

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FR2604903A1 (en) 1988-04-15
CA1293446C (en) 1991-12-24
EP0269598A1 (en) 1988-06-01
FR2604903B1 (en) 1989-01-13
ATE62413T1 (en) 1991-04-15
EP0269598B1 (en) 1991-04-10
DE3769287D1 (en) 1991-05-16
DE269598T1 (en) 1988-09-22
JPS6396121A (en) 1988-04-27

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